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Home My WebLink About222809 08/13/2013 „sf CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK CARMEL, INDIANA 46032 PO Box 6293 CHECK AMOUNT: $694.85 CAROL STREAM IL 60197-6293 CHECK NUMBER: 222809 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 33738512 694 . 85 0453-00-794629-6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 33738512 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8,10 0.00 31 07-31-2013 08-26-2013 694.85 ............................ >DPcTE`:>_:'::>?'_`:_:`_:_` ACTIVITY DESCRIPTION :..CHA.GF-SOESITS. PAYMENTS/CREDITS :..:::::07.2 2-2Q13 ><::> PAYMENT RECEIVED THANK YOU 627.94 »0: 1`201:: ' RETAIL FUEL PURCHASES >: 7.3 . 872E#a Q : ' ;s MONTHLY CARD CHG 22: 0: REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH T T PAYMENT.. MAIL O THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT PREVIOUS BALANCE PAYMENTS (+)PURCHASES (+)DEBITS CREDITS (+)LATE FEE (=)NEW BALANCE 627.94 627.94 672.85 22.00 0.00 0.00 694.85 $39.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexonline.com CALL CUSTOMER SERVICE TO PAY BY PHONE The Late Fee is determined by Which is an ANNUAL To the Balance subject to late FEDERAL TAX ID: 84-1425616 applying a monthly periodic rate of PERCENTAGE RATE of fee for this period which is 2.25 % 26.99 % 0.00 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. TO ENSURE PROPER CREDIT TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT Balance Subject to Late Fee Payment Options J Y P The late fee will be calculated by determining the total balance Mail due on the date your account becomes delinquent,as follows: Be sure to include bottom portion of invoice with your payment. adding the total amount due on your Account on the payment due Write your account number or invoice number on the check to help date together with any purchases posted to your Account from avoid delays in payment processing if the check and remit stub the end of the last billing cycle through the payment due date,and become separated. subtracting from that amount of any payments and/or credits entered during that period.The total balance due will then be multiplied Allow 10 business days prior to the due date for mailing to help by the applicable periodic rate to determine your late fee.If your avoid late fees. payment is not received and posted by the invoice payment due date,you may be charged a late fee or other fees in accordance Online with the terms in your Business Charge Card Account Agreement. Authorized users can elect to receive an email notification when an invoice is ready for online viewing and payment.Log in or register to How to Dispute Your Invoice set up an online account at www.wexonline.com. Charges must be disputed in writing no later than sixty(60) Online payments scheduled by 3:00 PM ET(on business days) days from the billing date or they will be considered final are credited to your account on the same day.There is no fee for and binding. online payments. Phone Card Issuer Call Customer Service and select the menu option for Billing The card is issued and payable to WEX Bank under a Business Inquiries. In addition to scheduling a payment,you can also- Charge Account Agreement with the cardholder named on the check your balance. reverse. Payments scheduled by 3:00 PM ET(on business days) are credited to your account on the same day. Customer Service Be prepared with your fleet card account number and a sample For account inquiries and correspondence regarding account check to enter your bank account number and routing number. service or billing: There is no fee for phone payments. • Call 1-888-387-5665, or Automated Clearing House(ACH) • Fax to 1-800-395-0809,or To make a one-time electronic payment go to: http://www.e-fleet.com • Mail to P.O. Box 639, Portland, ME 04104 ACH payments scheduled by 2:30 PM ET(on business days)are credited to your account on the same day.There is a fee for each Be sure to include your account number on all correspondence. ACH payment. ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 07-31-2013 FLEET SERVICES ACCOUNT NO: 0453-00-794629-6 DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SO CARMEL IN 46032-2584 Tax Summary TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS GALLONS GROSS COST TAX RATE FEDERAL 356000972 -40.49 0.00 FEDERAL E85 221.330 710.14 0.18300 -2.37 0.00 FEDERAL GASOLINE 12.934 50.04 0.18300 O AL sz>�s.:::;:;>:;<: '>: :::>':>::> :aaa .:<:::::;:::>: .........;:: : ::>::>::>::. . ..... ::: :>::::>::::.:: >::::`. FEOERAf.T T 5.... _... _........ ... 34.2 > >::::.......�..1 ............. .. ...... .......... ......... ...... ... ................ ................. ........... .......................................................... ..:::::.:: IN 356000972 0.00 35.40 STATE EXCISE E85 221.330 710.14 0.16000 0.00 2.33 STATE EXCISE GASOLINE 12.934 50.04 0.18000 -41.50 0.00 STATE SALES E85 221.330 710.14 0.07000 -2.97 0.00 STATE SALES GASOLINE 12.934 50.04 0.07000 ........sis; ...:;....>c......:>s>::i::i::>i::>::»::::::::::;::iss>s>si::..>::>::>: isis>csisssi;>s::>::: ::.>. >::>::»><:.. ..... >::»;::.........::>:;. IN:<5TAlrxttofn�LS::::>::::>::::>::::>::::>::::;::;;::>:;::::»:::>; ..:: .::::>::::. ::»;. ..::::;>:::::::.>::::>::::>::::>:::: aa:a.>::::>:>; >::: .......:::::::::.::.::...:::.:..::::::::..::: 7..... . 37.73.... ACCOUNT TOTALS -87.33 37.73 (c)WEX INC.2013 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 33738512 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT I DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-0 0-794628 6 8,100.00 31 07-31-2013 08-26-2013 694.85 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0004 MH 001 074 06-27-2013 19:57 HABOUSH,DAVE 28,341 E85 13.180 3.299 43.48 43.48 MH 001 074 07-05-2013 14:06 HABOUSH,DAVE 28,557 E85 22.030 3.199 70.47 70.47 MH 001 074 07-09-2013 18:19 HABOUSH,DAVE 28,834 E85 23.030 3.200 73.69 73.69 MH 001 074 07-13-2013 12:27 HABOUSH,DAVE 29,122 E85 23.900 3.199 76.45 76.45 MH 001 074 07-20-2013 14:05 HABOUSH,DAVE 29,290 E85 17.680 3.100 54.80 54.80 CARD SUBTOTALS 99.820 318.89 0007 MH 001 095 06-27-2013 17:37 SMITH,KEITH 20,055 E85 25.280 3.299 83.40 83.40 MH 001 154 07-03-2013 14:52 SMITH,KEITH 20,313 E85 24.920 3.199 79.72 79.72 MH 001 074 07-08-2013 14:21 SMITH,KEITH 20,555 E85 23.460 3.199 75.05 75.05 MH 001 095 07-13-2013 17:43 SMITH,KEITH 20,836 E85 25.050 3.200 80.15 80.15 MH 001 074 07-18-2013 19:56 SMITH,KEITH 21,046 E85 22.800 3.199 72.93 72.93 CARD SUBTOTALS 121.510 391.25 4551 93 006 168 07-19-2013 15:18 VANVOORST,BOB 101,215 UNL 12.934 3.869 50.04 50.04 CARD SUBTOTALS 12.934 50.04 TOTAL PURCHASES 234.264 760.18 Y-T-D PURCHASES 1,260.513 4,176.20 SITES USED THIS MONTH NO.PURCHASES TOTAL AMOUNT Location No. Brand Street City State Zip MH 001 074 MEIJER 1426 W CARMEL DR CARMEL IN 46032 7 466.87 MH 001 095 MEIJER 8225 E 96TH ST INDIANAPOLIS IN 46256 2 163.55 MH 001 154 MEIJER 17000 MERCANTILE RD NOBLESVILLE IN 46060 1 79.72 93 006 168 MARATHON 710 WESTFIELD ROAD NOBLESVILLE IN 46062 1 50.04 PRODUCTS: E85=ETHANL85 UNL=UNLEADED FLEET SERVICES This page is intentionally left blank. Drescribed by State Board of Accounts City Form No 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 33738512 $694.85 1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Wex Bank IN SUM OF $ P.O. Box 6293 — Carol Stream, IL 60197 $694.85 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 33738512 I 42-314.00 I $694.85 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except AUG 12 2013 .,.;. Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund